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Individual

AMANDA KIM GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(575) 430-3667
Mailing address
771 WEST INTERSTATE 10, SAN ANTONIO, TX 78230
(210) 737-4286

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
08/30/2019
Last updated
08/30/2019
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